MOH KSPAP FINAL V6

KAWERAU SUICIDE PREVENTION ACTION PLAN V6 FINAL 1

KAWERAU SUICIDE PREVENTION ACTION PLAN

July 2011 – December 2012


“Mo wai te painga o Whānau Ora

Mo Tūwharetoa i te Au Pouri

Mo ngā Iwi whānui

Mo te Ao Tawhito me te Ao Hou

Mo te Matemate Ao nei

Tūturu whakamaua kia tīnā! Tīnā!

Haumie! Hui e!

Taiki e!”


Preface

This report was compiled by the Kawerau Working Group (KWG) made up of whānau, community members, service providers, Clinical Core Group and

government agencies bringing their collective knowledge and wisdom to develop the Kawerau Suicide Prevention Action Plan 2011 (KSPAP) through

forming the “Kawerau Working Group” for Suicide Prevention.

This document was developed following increased concern amongst the community, and with input from Ministers and government agencies in relation

to the suicides in Kawerau. This document is the Draft Kawerau Suicide Prevention Action Plan 2011.

The KWG was established as a community response to a community suicide issue.

The KWG would like to acknowledge the assistance and support of the Ministry of Health ( MOH), the Bay Of Plenty District Health Board (BOPDHB ), and

the contributions from the members of the Kawerau Working Group (KWG) in the development of the Kawerau Suicide Prevention Action Plan ( KSPAP)

2011.

The KWG wishes to note that the development of the KSPAP was challenging due to the tight timeframes and this limited broader community

consultation.

The KWG consider the KSPAP to be an evolving working document.


CONTENTS

Purpose Page 7

Suicide in New Zealand Page 7

The New Zealand Suicide Prevention Strategy 2006-2012 Page 8

He Korowai Oranga : Māori Health Strategy Page 8

Evidence Page 10

Overview of Kawerau Page 10

Methodology Page 11

The Approach Page 12

Leadership and Implementation Page 12

Emerging Themes Page 13

Contributors Page 14

GOAL ONE : Education Awareness Page 16

- Upskill/Whānau/Community/Service Providers

- Ensure availability and access to appropriate training and resources

- Reduce the impact of isolation felt by whānau and the wider community

- Remove barriers to services, information and knowledge

- Promote health seeking, destigmatising mental health issues, improving coping skills and increasing protective factors

- Prevent suicide and suicidal behaviour


- Influence policies of school/community providers/marae, to develop a suicide/self harm response policy


- Develop and strengthen RESILIENCY


ACTION 1: Provide education or access to programmes that directly address contributing factors to suicide.

ACTION 2: Enlist participants for a suite of funded training and supported opportunities or career development

ACTION 3: Undertake development and training activities for Suicide Self harm Response Policies

ACTION 4: Enlist participants for a suite of funded training and supported career development opportunities

GOAL TWO : Whānau Engagement Page 21

- Develop prevention, clinical intervention, postvention response services in conjunction with whānau/community

- Consistency with WHĀNAU ORA approach/philosophy

- Promote and be guided by forums to engage whānau

GOAL THREE : Accountability Page 23

- Agencies/service providers are responsive and accountable (ethically) to the COMMUNITY/WHĀNAU Service providers are monitored

and reviewed on service delivery in a timely manner

- Consumers are made aware of their rights to a quality service and advocacy

GOAL FOUR : Provider Collaboration Page 26

- Appropriate services are accessible to whānau

- Formal collaborative relationships are established and maintained between providers and agencies

- Providers to work collaboratively to provide an ongoing sharing of care process of support to whānau.


GOAL FIVE :Communication Page 28

- Develop a community communication plan to engage with and promote the KSPAP

- Media

- Services

- Community/Whānau

- Work with media to provide factual and accurate information

- Delegate group to interact with media

Flow Chart Page 30 References Page 31 Glossary Page 32


Purpose

The Kawerau Suicide Prevention Action Plan 2011 provides a framework for a collaborative community and government interagency service response to

prevent suicide within Kawerau. This plan sits within a broader plan for Kawerau which aims to understand how all the various activities across the

community including the range of government sectors such as Health; Education; Welfare; Housing; Employment and Justice, will work together

cohesively in suicide prevention with the guidance and support of the Kawerau community

This Plan will be guided by the five goals identified by the community of Kawerau;

1. Education Awareness

2. Whānau Engagement

3. Accountability

4. Provider Collaboration

5. Communication

Suicide in New Zealand

Māori continue to have the highest rates of suicide and hospitalisation for intentional self-harm. In 2008, a total of 497 people died by suicide. 82 deaths

were Māori. At least five times as many were admitted to hospital for serious intentional self harm injuries. While suicide deaths among Māori were not

significantly higher than in the general population, the rate was still concerning at 13.3 per 100,000 Māori. The majority of Māori suicides are in the age

range of 15 to 45 years, with Māori males being higher at risk. The Māori youth suicide rate in 2008 was about 70 percent higher than that of non-Māori

youth


The New Zealand Suicide Prevention Strategy 2006-2016

The NZ Suicide Prevention Strategy (NZSPS) is an all age strategy that sets the high-level strategic platform to guide existing and future action that

Government expects to be the focus for suicide prevention policy from 2006 to 2016. Underpinned by the New Zealand Health Strategy (Minister of

Health 2000) and the New Zealand Disability Strategy, a substantial body of work has been progressed under the New Zealand Suicide Prevention

Strategy. Highlights include:

the establishment of suicide prevention coordinators in some DHB’s,

development of suicide postvention response services,

the establishment of local Child and Youth Mortality review groups,

a focus on addressing depression through the National Depression Initiative,

publication of Te Whakauruora, a Māori suicide prevention resource1

The KSPAP aligns with the NZ Suicide Prevention Strategy and particular reference and guidance is taken from Te Whakauruora Restoration of Health:

Māori Suicide Prevention Resource (Ministry of Health 2009).

He Korowai Oranga The Māori Health Strategy

The guiding framework used in the health sector for responding to Māori health issues is outlined in He Korowai Oranga (HKO). The Māori Health

Strategy (Minister of Health 2002) and Te Puawaitanga: The Māori Mental Health National Strategic Framework (Ministry of Health 2002a). He Korowai

Oranga identifies four pathways2 to achieve better Māori health outcomes in the context of suicide prevention, such as;

1 Ihimaera L & MacDonald P. 2009. Te Whakauruora Restoration of Health: Māori Suicide Prevention Resource. Wellington. Ministry of Health


1. Whānau, Hapu, Iwi and community development

2. Māori participation

3. Effective service delivery

4. Working across sectors

He Korowai Oranga reinforces to providers that whānau participation is vital in all aspects of health provision, as carers, supporters, learners, planners

and advocates. Whānau Ora recognises the whānau as being the foundation for wellbeing, inclusive of mokopuna, tamariki, taitamariki, pakeke, kuia and

koroua, and is about positive health outcomes for Māori ensuring3;

Whānau are nurturing and safe;

Whānau have a secure identity, high self-esteem and confidence;

Whānau experience wellbeing and control over their lives;

Whānau have the choice to participate in both te ao Māori and wider New Zealand society;

Whānau have physical, social and economic means to secure their health and wellbeing;

Whānau live, work and play in safe and supportive environments;

Whānau live longer and enjoy a better quality of life;

Whānau come from and experience different lifestyles and their diverse realities are considered;

Whānau groups may be made up of relatives from a common tīpuna or of unrelated friends, work mates; sports team members or church and school associates who share common interest.

2 He Korowai Oranga The Māori Health Strategy 2002, Ministry of Health

3 Ihimaera L.V. Whakarato Whānau Ora: Whānau Wellbeing Is Central To Māori Wellbeing. 2007. Palmerston North. Te Rau Matatini


The KSPAP is closely aligned to He Korowai Oranga, joined by the guiding influence and emphasis on whānau and Whānau Ora for Māori health outcomes

to lead the prevention of suicide in the Kawerau community.

Evidence

The causes of suicide are complex. Research indicates that suicide is usually caused by an accumulation of risk factors, with a mental disorder being the

most common risk factor. Other risk factors are broad ranging and include traumatic childhood events, life stressors, social isolation, family issues,

genetic characteristics, cultural factors and socio-economic issues. Research evidence also indicates that the way suicide is reported in the media can

influence vulnerable people to make suicide attempts that they would not otherwise have made.

Alienation from ones culture can be a risk factor for suicide. Even so, culture can provide a sense of belonging and self worth that can act as a protective

aspect for suicide. For Māori a strong cultural base is a vital source of identity. Having a positive attitude about identity is important for Māori in

achieving cultural and spiritual wellbeing. Māori culture has specific terms and concepts in relation to suicide that need to be understood and respected.

Kaupapa Māori theory and praxis is recognised and evidenced based, therefore provides a platform for an intergrated approach of both the clinical and

cultural deliverables.

Overview of Kawerau

Kawerau has a population of approximately 7,000 and notably the population is also declining. The town was built in the mid fifties to service the pulp

and paper industries. Over the last 20 years there has been significant change with the introduction of automation and industry restructuring. This has

resulted in high unemployment and a large, unskilled workforce. The social structure within Kawerau has changed with a high percentage of people who

are employed, commuting from outside the community. Māori comprise 60% of the population. This proportion is higher among younger age groups.

Nearly 50% of Māori over 15 years of age have no formal qualifications. Unemployment is a significant issue, at 19% for Māori over 15 years of age. Over


30% of families in Kawerau are single parent families (Census 2006). These are contributing factors to the profile of Kawerau as one of the highest

impacted communities in terms of poor social and economic status. Contributing factors to suicide (features of Mental Illness, major social stresses,

physical complications, AOD use and abuse, whānau dynamics, relationship issues and unresolved underlying issues of grief, abuse, loss of identity and

Matemāori.

Kawerau College is a decile one school. It is one of five existing educational facilities in Kawerau. A ministerial review is currently underway in Kawerau.

The Ministry of Education is currently restructuring schools in Kawerau including the Intermediate with plans to establish a new Māori Immersion

Wharekura. The proposed change has created tension in the community. This situation is further complicated by the lack of specific programmes to re-

engage community who are in need of ongoing support, back into the education system. A Teen Parenting programme is available in Kawerau. The

Alternative Education Facility has been relocated to Te Teko but is still accessible to Kawerau youth.

The presence of gangs is longstanding in Kawerau. Alcohol and Drug use is significant, with a major concern around the use and availability of “P” and

marijuana.

Methodology

The KWG have developed a draft framework based on an analysis of feedback drawn from consultation with a collective of groups representing whānau

affected by suicide, the wider Kawerau community, Kawerau-based service providers, and government agencies. Three network meetings were held and

a Project Team was established to progress the creation of the draft Kawerau Suicide Prevention Action Plan. Under the Terms of Reference, the KWG is

authorised to promote and maximise consultation; conduct meaningful and respectful collaboration and maintain transparency. The focus of the plan is

on suicide prevention, however, the KWG are cognisant of the need for the action plan to align with the expectations and overarching plans that are

currently being developed by K-OPER-8 and CO-BOP. The KWG will ensure the KSPAP aligns to the New Zealand Suicide Prevention Strategy.


The Approach of this Plan

The KSPAP will help whānau, the wider Kawerau community and agencies to work together in a more collaborative, co-operative and transparent

manner. The KWG envision and recommended a Whānau Ora approach so that service providers implementing actions in this plan should aim to be

familiar with Māori models of health e.g Te Whare Tapawha, Te Wheke. .

A Whānau Ora approach is well placed to facilitate whānau development and Māori potential within Kawerau in a number of ways. It provides the

impetus to initiate consultation, identify opportunities, enhance co-ordination and strengthen collaboration to mobilise Kawerau community by

reinforcing the social and interagency networks that already exist and bringing about community action for change at all levels to make the most positive

difference “by Kawerau for Kawerau”.

Leadership and Implementation

The KWG was tasked with drafting the KSPAP to be submitted to the Kawerau interagency governance group K-OPER-8, by 5 August 2011. As mentioned

K-OPER-8 is an interagency governance coalition group with representation from a combination of agency, service providers and iwi established to lead

the government response to the community crisis situation in Kawerau. A collective of clinical specialists known as the Clinical Core Group (CCG)

provides clinical leadership and expertise on suicide prevention and postvention to K-OPER-8. A recommendation has been made from the KWG to

K-OPER-8 to include community representation in this forum. This plan will include clinical postvention response in collaboration with the

implementation of the KSPAP .

This Plan will guide future community-driven and government health priorities and responses to suicide prevention in Kawerau. The final KSPAP will

form part of the overarching plan for Kawerau community being developed by K-OPER-8. Implementation of this plan will be the accountability of


K-OPER-8.

Emerging Themes

The emerging themes from the initial consultation include:

- the need for collaboration, communication and transparency

- a Whānau Ora approach to ensure “whānau and community have a voice” and that whānau/community focus is paramount;

- accountability, responsiveness by providers;

- availability and accessibility of information and training;

- communication systems are effective


Contributors

The following organisations and agencies have been involved in the current Kawerau response to the suicides. There is an expectation, that all services

and government agencies will contribute to the actions for the implementation of the KSPAP.

PROVIDER / SERVICE / AGENCY/ MINISTRY CONTRIBUTION STATUS

Tūwharetoa ki Kawerau Health, Education and

Social Services

Provision of Kaupapa Māori Health Services in

particular : Mental Health Services, Whānau and

Rangatahi Services

Confirmed

Te Huinga Social Services Counselling / Support Groups Confirmed

Pou Whakaaro Primary Mental Health services Confirmed

MANNA Support Service Counselling Confirmed

Eastern Bay Primary Health Alliance Primary Mental Health, GP practice, school based

services

To be advised

Te Wānanga o Aotearoa – Kawerau Office To be advised Confirmed

K-OPER-8 Refer to Kawerau Suicide Prevention Action Plan Confirmed

Kawerau District Council Long term community strategic plan To be advised

Kia Piki te Ora (Te Ao Hou Trust) Strategic co-ordination and collaboration on

Māori Suicide Prevention Strategies

Confirmed

Community Mental Health Services Adult Clinical Mental Health Services To be advised

Voyagers Adolescent Clinical Mental Health Services To be advised

Collaboration Bay of Plenty (COBOP) Agency collaboration and resources To be advised

Housing New Zealand (HNZC) To be advised

Child Youth and Family (CYF) To be advised


Work and Income New Zealand (WINZ) To be advised

New Zealand Police To be advised

Te Puni Kōkiri (TPK) To be advised

Ministry of Education - Special Education To be advised

Ministry of Social Development To be advised

Ministry of Youth Development To be advised

Ministry of Health Refer to Kawerau Suicide Prevention Action Plan Confirmed

Bay of Plenty DHB Refer to Kawerau Suicide Prevention Action Plan Confirmed

Others


GOAL ONE – EDUCATION AWARENESS

KEY MESSAGES: Life is a taonga Celebrate LIFE 2getha 4 Lyfe

OBJECTIVES

- Upskill/Whānau/Community/Service Providers

- Ensure availability and access to appropriate training and resources



- Promote health seeking, destigmatising mental health issues, improving coping skills and increasing protective

factors

- Prevent suicide and suicidal behaviour

- Influence policies of school/community providers/marae, to develop a suicide/self harm response policy


- Develop and strengthen RESILIENCY


ACTION 1: Provide education or access to programmes that directly address contributing factors to suicide.

ACTION 2: Enlist participants for a suite of funded training and supported opportunities or career development

ACTION 3: Undertake development and training activities for Suicide Self harm Response Policies

ACTION 4: Enlist participants for a suite of funded training and supported career development opportunities

Reference Timeframes :

Short term - Up to 3 months

Medium term - 3 to 6 months

Long term - 6 to 12 months


ACTIVITY

TIMEFRAME

CONTRIBUTION WHO STRATEGIC

ALIGNMENT

Ensure availability and access to

appropriate training

To embed cultural and emotional

competency into all activities / initiatives

Short

Medium

Medium

Medium

Medium

Short

Long

Tuakana & Teina Model

Problem Solving Therapy (PST)

Strengthening Cultural Identity e.g. Mau

Rākau, Whakapapa, Mahi Kai,

Manaakitanga, Tikanga & Kawa – Iwi

Kaumātuatanga

Māori models of practise

Holistic Wellbeing e.g. Te Whare Tapa

Whā/Te Wheke, Pounamu / Te Tuariki o te

Tangata

National Cert in Social Service Work in

Suicide Intervention & Prevention

National Cert & Dip in Hauora

Te Whakauruora

Local providers

Consultancy

Local providers

Marae based

Local providers

ANAMATA

RAPU KI RUA

MOH

NZSPS: Goal 6

HKO: Pathway

One


Design and deliver Te Whakauruora

Training specifically for whānau, rangatahi

and community in Kawerau

Provide scholarships for providers in

Kawerau to attend National Te

Whakauruora Training

If necessary print additional copies for

organisations providing suicide prevention

training in Kawerau

To promote and encourage workforce and

whānau development

Long

Medium

Long

Identify central point of contact in Kawerau

for resource location, management and

distribution

Whānau Ora wānanga on the marae

Hāahi support

National Cert & Dip in Mental Health /

Mental Health First Aid (Mahi Tahi Trust)

MOH

MOH

MAHITAHI

TRUST

Provision of Applied Suicide Intervention

Skills (ASIST)

Medium One 2 day ASIST workshop MOH

Support in the development of a suicide /

self harm policy for use in the Kawerau

community

Medium A suicide / self harm policy available in

Kawerau

KPTO

To establish and promote an 0800 line

appropriate for Kawerau

Short 0800 Support Line (clinical triage)

providing support and

information/referrals specific to the

Kawerau area

Local Providers

COBOP


Provide availability and access to Cognitive Behaviour Therapy training

Short Specialist Mental Health Service BOPDHB

NZSPS: Goal 6

Coordinate and enlist participants to

undertake Positive Parenting Programmes

(Triple P)

Medium Support development of basic parenting

skills

BOPDHB NZSPS Goal : 6

Coordinate and enlist participants to

undertake Incredible years parenting

BOPDHB Mental Health Services Workshops

Short

Support development of whānau parenting

skills

DHB Mental Health Providers to provide

regular forums for whanau re: service

provision

Local Provider

BOPDHB

NZSPS Goal : 6

Kawerau School Boards of Trustees to undertake development and training for Suicide-Self Harm Response Policies

Medium Preparedness to address Suicide-Self Harm

within the schools

Clinical Triage with identified at-risk

students

MOE

NZSPS: Goal 1

NZSPS: Goal 6

Kawerau Marae Committees to undertake development and training for Suicide-Self Harm Response Policies


within the whānau/hapu

Clinical Triage with identified at-risk

students

IWI/HAPU

WHANAU

TPK

NZSPS: Goal 1

NZSPS: Goal 6


Kawerau Community Service Providers to undertake development and training for Suicide-Self Harm Response Policies


All providers to have an operational

KSPAP

Maintain and update at-risk register

for individuals and whanau: to sit

with Clinical Core Group

Local Providers

NZSPS: Goal 1

NZSPS: Goal 6


GOAL TWO : WHĀNAU ENGAGEMENT

OBJECTIVES

- Develop prevention, clinical intervention, postvention response services in conjunction with whānau/community

- Consistency with WHĀNAU ORA approach/philosophy

- Promote and be guided by forums to engage whānau


ACTIVITY

TIMEFRAME


ALIGNMENT

Provide advocacy / navigator for whānau

/community as required

Short

Assist whānau to access support

Identify early, crisis intervention

and management plans

Local Providers NZSPS Goal: 1

NZSPS Goal: 2

NZSPS Goal: 6

Increase awareness, an identify risk factors

of Suicide-Self Harm

Short Promote understanding of Suicide-Self

Harm

Develop risk management plans

Maintain and update risk register

All Agencies

NZSPS Goal: 1

NZSPS Goal: 2

NZSPS Goal: 6

Develop Relationship Agreement with Medium Organise wananga through Marae, with Local Providers NZSPS Goal: 6





Iwi/Hapu/Marae/Whānau

Ensure whānau or community

representation at all levels of decision

making

Short

focus on tikanga that strengthens the well-

being of whanau, hapu and iwi

Whānau and community are represented

in decision making forums

All agencies

NZSPS Goal:6

To establish a clinical and a non clinical

group to support the implementation of

the KSPAP

Medium To achieve the goals and actions identified

in the KSPAP

K-OPER-8 NZSPS Goal:1

NZSPS Goal:6


GOAL THREE : ACCOUNTABILITY

OBJECTIVES

- Agencies/service providers are responsive and accountable (ethically) to the COMMUNITY/WHĀNAU

- Service providers are monitored and reviewed on service delivery in a timely manner

- Consumers are made aware of their rights to a quality service and advocacy


ACTIVITY

TIMEFRAME


ALIGNMENT

Community providers are accountable for

quality service delivery

Short Quality services are delivered in a timely

manner

Contact Triage

Appropriate workforce skill mix

Assessments and whānau hui

MDT forums is a core forum

Treatment and discharge planning

Whānau partnerships, participation

All agencies NZSPS Goal : 2

NZSPS Goal : 3





and protection

Commitment to develop the

Kawerau workforce

Funders have clear guidelines/on

allocation of contracts

Short Service provision and delivery are

appropriate and meet community needs

All agencies NZSPS Goal : 2

NZSPS Goal : 3

Provide practical, best practice on

information and advice about the

development and implementation of an

early, crisis and postvention response in

conjunction with Kawerau

community/whānau/iwi

Short

Short

Community early, crisis and postvention

Response Service for duration needed

CPRS Site Brief seminars & workshops,

training on suicide behaviours, warning

signs, risk assessment, interventions, visits

to provide practical, best-practice

information and advice about the

development and implemention of an early,

crisis and postvention response in

conjunction with Kawerau

community/whānau/iwi

MOH

BOPDHB

MOH

NZSPS Goal : 6

NZSPS Goal : 6

Services will comply with relevant Codes

of Rights and Organisational Codes of

Conduct and apply best practice principles.

Short Provision of ongoing training

Provider pathways and processes

are transparent

All local providers are audited

against the KSPAP

Nationwide

Health &

Disability

Advocacy

Service and All

agencies

NZSPS Goal :5

Core Clinical forum to ensure alignment of


processes to KSPAP

Clinical Core group to develop a

communications pathway to the

KSPAP Implementation team

Clinical Core group to develop a risk

register of whānau of concern

Clinical Core group to have

representation in the KSPAP

Implementation team

Clinical Core group Terms of

Reference to be reviewed by the

MOH and sit in line with KSPAP

strategy


GOAL FOUR : PROVIDER COLLABORATION

OBJECTIVES

- Appropriate services are accessible to whānau

- Formal collaborative relationships are established and maintained between providers and agencies

-Providers to work collaboratively to provide an ongoing sharing of care process of support to whānau


ACTIVITY

TIMEFRAME


ALIGNMENT

Hui held with all providers in Kawerau

To improve understanding of the delivery

of services and referral path ways

Medium

Short

3 monthly hui to be established

Providers to promote the services they

deliver and the referral pathway

K-OPER-8

All agencies

NZSPS Goal : 6

NZSPS Goal : 1

NZSPS Goal : 5

NZSPS Goal : 6

Specialist skills identified

To awhi, clients through a continuous

Medium

Short

Specialist skill are made accessible to

whānau and community

Tohunga and access to appropriate

cultural experts to be recognised as

BOPDHB

All agencies

NZSPS Goal : 2

NZSPS Goal : 3

NZSPS Goals :1-7





seamless service specialist, including clinical

expertise

Seamless delivery in a Whānau Ora

approach

Whānau define what whanau ora

means to them


GOAL FIVE : COMMUNICATION

OBJECTIVES

- Develop a community communication plan to engage with and promote the KSPAP

- Media

- Services

- Community/Whānau

- Work with media to provide factual and accurate information

- Delegate group to interact with media


ACTIVITY

TIMEFRAME


ALIGNMENT

Regular Community Meetings

Promote services via media/News

Letters/Websites/Print/Radio/TV

Recognise and promote positive steps in

working with the media

Short

Medium

Long

Short

Medium

Raise community awareness,

understanding and building resilience

Positive promotion of the community

initiatives

K-OPER-8

K-OPER-8

NZSPS Goal : 5

NZSPS Goal : 5





Whānau & Community are aware of the

services available and how they can access

them

Long

Short

Medium

Long

Clear understanding of how and where to

access services

All Agencies

NZSPS Goal : 1

NZSPS Goal : 6

Nominate person/s to communicate with

media on behalf of the Whānau /

Community / Agencies in accordance to

national guidelines

Short

Medium

Long

Media to be held accountable, managed

widely – TV, Paper etc

K-OPER-8

NZSPS Goal : 5


KSPAP - Flow Chart Description

Kaumatua

BOPDHB – Clinical

Expert

Pou Whakaaro –

Clinical Expert

Te Huinga Social

Services – Clinical

Expert

MANNA Support


Expert

Tuwharetoa ki

Kawerau Hauora


Expert

Clinical Core

Group (CCG)

Kaumatua

BOPDHB – Clinical

Expert

Pou Whakaaro –

Clinical Expert

Te Huinga Social


Expert

MANNA Support


Expert

Tuwharetoa ki

Kawerau Hauora


Expert

Clinical Core

Group (CCG)

K-OPER-8 Implementation

Team

Iwi

BOPDHB

Non-Clinical

(Community)

Pou Whakaaro Te Huinga Social

Services

Tuwharetoa ki

Kawerau Hauora

MANNA Support

Services

Other

This flow chart shows the

following:

K-OPER-8 - Governance

Implementation Team –

TBA : ensure CCG and

Keu Provider

compliance to KSPAP

strategy

CCG – Collaborative

agency approach who

provide triage as a

means of early, crises

and post intervention

Services – Local

Kawerau providers who

support the whānau

Community

cCOMMUNITYCOM

MUNITYCOMMUNIT

Y


REFERENCES

Publications:

Health Funding Authority. 2000. He Nuka Mo Nga Taitamariki: A National Workplan for Child and Youth

Ihimaera, L., & McDonald, P. 2009. Te Whakauruora Restoration of Health: Māori Suicide Prevention Resource

Ihimaera, L., & McDonald, P. 2007. Whakarato Whānau Ora: Whānau Wellbeing Is Central To Māori Wellness

Minister of Health, Associate Minister of Health. 2002. He Korowai Oranga The Māori Health Strategy

Minister of Health. 2006. New Zealand Suicide Prevention Strategy 2006-2016

Ministry of Health. 2002a. Te Puawaitanga: Māori Mental Health National Strategic Framework

Ministry of Health. 2008. Te Puawaiwhero: The Second Māori Mental Health and Addiction National Strategic Framework 2008-2015

Youth Affairs, Ministry of Health & Te Puni Kokiri. 1998. Kia Piki Te Ora O Nga Taitamariki / In Our Hands: Strengthening Youth Well-being

Youth Affairs, Ministry of Social Development. 2002. The Youth Development Strategy Aotearoa: Action for Child and Youth Development

Websites:

www.spinz.org.nz Suicide Prevention Information New Zealand

http://www.spinz.org.nz/


GLOSSARY

suicide the act of taking one’s own life whānau family

self harm self inflicted injuries tīpuna ancestor

suicidal ideation suicidal thoughts matemāori an illness or sickness of Māori origin

wharekura school intervention immediate actions taken

tuakana elder sibling / relative awhi support

postvention actions undertaken after a suicide resilience ability to recover readily

teina younger sibling / relative kaumātuatanga elderly

contact triage assessment of needs on first point of contact whakapapa geneology

mau rākau the art of weaponry tīkanga protocol

kawa custom hāhi church / religion

rangatahi youth Tohunga an expert, knowledged person

prevention actions taken to minimise or reduce the incidence of suicide or self harm

Documents

MOH KSPAP FINAL V6